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KENOSHA PAIN CENTER LLC
NPI 1508448853
Clinic/Center - Ambulatory Surgical in Kenosha, WI

Active since April 26, 2021
6123 GREEN BAY RD STE 100, KENOSHA, WI 53142(262) 297-7246 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 4, 2021, Apr 26, 2021 (2 updates tracked since 2021).

About Kenosha Pain Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KENOSHA PAIN CENTER LLC (NPI 1508448853) is a healthcare organization registered as an ambulatory surgical in Kenosha, Wisconsin and active in the NPI registry since April 2021. The organization lists Karen M Bewer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508448853
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameKENOSHA PAIN CENTER LLC
Location Address6123 GREEN BAY RD STE 100Kenosha, WI 53142-2939
Mailing Address2500 W Layton Ave Ste 200Milwaukee, WI 53221-5434 · (262) 297-7246
Phone(262) 297-7246
Organization SubpartNo
Authorized OfficialKaren M BewerAdministrator · (262) 297-7246
Enumeration DateApril 26, 2021
Last NPPES UpdateMay 4, 20212 updates tracked since enumeration
NPPES CertifiedMay 4, 2021
✔ NPI 1508448853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
6123 GREEN BAY RD STE 100, Kenosha, WI 53142
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PATEL FOOT & ANKLE LLC
Podiatrist (Foot & Ankle Surgery)
6123 GREEN BAY RD STE 100
KENOSHA, WI 53142
Kenosha County (262) 657-3668
FAMILY FOOT & ANKLE CLINICS OF WISCONSIN LLC
Podiatrist (Primary Podiatric Medicine)
6123 GREEN BAY RD STE 100
KENOSHA, WI 53142
Kenosha County (262) 657-6104
JEROME NOVAK PT
Physical Therapist
6123 GREEN BAY RD STE 100
KENOSHA, WI 53142
Kenosha County (262) 880-1034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kenosha Pain Center LLC's NPI number?

The NPI number for Kenosha Pain Center LLC is 1508448853. It was assigned to this organization in the NPPES registry on April 26, 2021.

Where is Kenosha Pain Center LLC located?

Kenosha Pain Center LLC is located at 6123 Green Bay Rd Ste 100, Kenosha, WI 53142. The listed phone number is (262) 297-7246.

What is Kenosha Pain Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Kenosha Pain Center LLC was last updated on May 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.